Neuropsychological Impact of COVID Scheduling Survey

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* 1. Have you had a positive COVID-19 test over two weeks ago?

Yes

No

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* 2. Do you have access to Zoom, a microphone, and a camera?

Yes

No

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* 3. May we contact you through e-mail to arrange a study time?

Yes

No

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* 4. What is your e-mail address?

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* 5. Participation in this study takes approximately 45 minutes. Please indicate some times you would be available within the next week.

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* 6. For scheduling purposes, please indicate your time zone.

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* 7. Would you be willing to identify a friend or family who has not been diagnosed with COVID-19 to serve as a control in this study?

Yes

No

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* 8. Do you have any questions regarding the study?